Aberrant mTOR signaling and disrupted autophagy: The missing link in potential vigabatrin-associated ocular toxicity?

Clin Pharmacol Ther

Division of Experimental and Systems Pharmacology, College of Pharmacy, Washington State University, Spokane, Washington, USA.

Published: April 2017

Vigabatrin (VGB; γ-vinylGABA) is a unique antiepileptic directly elevating CNS GABA via inactivation of the GABA metabolic enzyme GABA-transaminase. VGB is effective in treating infantile spasms, a rare seizure disorder associated with significant morbidity. The potential for unexplained bilateral constriction of the visual field associated with VGB intervention can severely limit its temporal utility. Removal of this potential adverse effect with adjuvant intervention(s) would represent a significant advance in epilepsy therapeutics.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5801739PMC
http://dx.doi.org/10.1002/cpt.581DOI Listing

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